Senior Manager, Provider Network Performance

Centene Corporation; United States; Remote; USD 108,000 - 199,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible remote/hybrid/office work

Job summary

Centene Corporation is seeking a senior specialist to manage and support network performance analytics. The role focuses on designing data solutions to support contracting analytics and modeling applications, with a remote-first setup in the United States and quarterly onsite meetings in St.

Louis, MO. The candidate will lead analytic projects, collaborate across departments, monitor unit cost trends, and enhance reporting capabilities.

Qualifications

• Bachelor's degree or equivalent experience in Business, Economics, Finance, Healthcare or related field.
• 6+ years of contracting, healthcare reimbursement, provider contract modeling or quality measurement experience.
• Knowledge of Health Care Delivery Systems; familiarity with SQL, SAS/SPSS, Office Suite, Visio preferred.

Responsibilities

• Oversee development of contract analytics applications and determine financial impact of negotiations and rate changes.
• Develop analytic and reporting tools to monitor unit cost and cost of care changes.
• Provide analytic support for network performance, unit cost trends, profiling, and contract modeling.

Skills

Contracting

Healthcare reimbursement

Provider contract modeling

Data analytics

Education

Bachelor's degree or equivalent experience

Tools

SQL

SAS/SPSS

Office Suite

Visio

Job description

Position Purpose: Manage and support the development of network performance analytics. Design and build solutions that create, maintain, interface, or transform data in order to support a complete business need around contracting analytics and modeling applications.

Key Details: This position is 100% remote within the United States. Quarterly onsite meetings are held in St. Louis, MO. Travel is not required; however, local team members are encouraged to attend in person when available.

• Oversee the development of project applications and determine the financial impact of contract negotiations and statewide rate changes
• Develop enhanced analytic and reporting capabilities and tools to monitor and evaluate financial impact of changes in unit cost and cost of care
• Provide analytic support for network performance, unit cost trend, network profiling, evaluation, and contract modeling for current and future business
• Plan, manage, analyze, design and implement projects, including scheduling deliverables, goals, and milestones
• Collaborate interdepartmentally to determine analytic reporting needs and provide training and support on network performance applications and reporting tools
• Lead provider profiling and network performance analytic support functions and provide support to health plans and other stakeholders
• Oversee, monitor and measure unit cost trends and network improvement opportunities
• Support existing application solutions, identify and develop technical enhancements to improve outcomes

Education/Experience: Bachelors' degree in Business, Economics, Finance, Healthcare or related field or equivalent experience. 6+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience. Knowledge of Health Care Delivery Systems and familiarity with programs such as SQL, SAS/SPSS, Office Suite, and Visio preferred.

Pay Range: $107,700.00 - $199,300.00 per year

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act